September/2005

ANSWER 10 =C

The patient clearly has risk factors for coronary artery disease, symptoms suggestive of angina and an abnormal EKG. He has, until proven otherwise, acute coronary syndrome. The latter is a clinical entity that should be identified early so as to prevent myocardial damage, failure and death. The review article in the AFP entitled “Diagnosis of Acute Coronary Syndrome” is recopmmended for review. (http://www.aafp.org/afp/20050701/119.html)